Organization Active NPI

Middletown Nephrology PLLC

  • Nephrology Physician
  • Middletown, NY
National Provider Identifier
1407067986
Registry record updated Mar 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
Legal business name
MIDDLETOWN NEPHROLOGY PLLC
Practice address
14 Kings Dr
Middletown, NY 10941-5225
Phone
(845) 239-3912
Fax
(845) 883-5323
NPI assigned
May 25, 2007
Last updated
Mar 7, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Maria A Karimi, MDNPI 1558362392
Title
President Owner Doctor
Phone
(845) 239-3912

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X NU Primary

Addresses

Primary practice location

14 Kings Dr
Middletown, NY 10941-5225

Mailing address

14 Kings Dr
Middletown, NY 10941-5225
Phone (845) 239-3912

Other identifiers 1

IdentifierTypeStateIssuer
03197697MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070706000598 NY Part B Supplier - Clinic/Group Practice 2365542297 Receives reassigned benefits from 1 practitioner
Practice locations: Middletown, NY

National Provider Directory

National Provider Directory

Locations

225 Dolson Ave
Ste 301
Middletown, NY 10940
Phone (845) 342-6464

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1180051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741305600000",
    "number": "1407067986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 KINGS DR",
            "city": "MIDDLETOWN",
            "state": "NY",
            "postal_code": "109415225",
            "telephone_number": "845-239-3912",
            "fax_number": "845-883-5323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 KINGS DR",
            "city": "MIDDLETOWN",
            "state": "NY",
            "postal_code": "109415225",
            "telephone_number": "845-239-3912",
            "fax_number": "845-883-5323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDDLETOWN NEPHROLOGY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-25",
        "last_updated": "2025-03-07",
        "certification_date": "2025-03-07",
        "status": "A",
        "authorized_official_last_name": "KARIMI",
        "authorized_official_first_name": "MARIA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT OWNER DOCTOR",
        "authorized_official_telephone_number": "845-239-3912",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03197697",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Middletown, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.